Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-22T05:04:58.876Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management

Published online by Cambridge University Press:  16 April 2020

T. Björkman  and
L. Hansson
T. Björkman*
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, SE-221 85 Lund, Sweden
L. Hansson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, SE-221 85 Lund, Sweden
*
*Correspondence and reprints.
Get access

Summary

One hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.

Keywords

case managementpredictors of outcomequality of lifeseverely mentally ill
Type
Original article
Information
European Psychiatry , Volume 17 , Issue 1 , March 2002 , pp. 33 - 40
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS. 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and statistical manual for mental disorders, 3rd ed., rev Washington, D.C: APA; 1987.Google Scholar
Barry, MMZizzi, AQuality of life as an outcome measure in evaluating mental health services: a review of the empirical evidence. Soc Psychiatry Psychiatr Epidemiol 1997; 32; 38–47.CrossRefGoogle ScholarPubMed
Browne, SRoe, MLane, AGervin, MMorris, MKinsella, Aet al. Quality of life in schizophrenia: relationship to sociodemographic factors, symptomatology and tardive dyskinesia. Acta Psychiatr Scand 1996; 94; 118–24.CrossRefGoogle ScholarPubMed
Bobes, JGonzáles, MPQuality of life in schizophrenia. In: Katchnig, HFreeman, HSartorius, N Eds. Quality of life in mental disorders. Chichester, England: Wiley & Sons; 1997.Google Scholar
Corrigan, PWBuican, BThe construct validity of subjective quality of life for the severely mentally ill. J Nerv Ment Dis 1995; 183; 281–5.CrossRefGoogle ScholarPubMed
Derogatis, LRFasth, BGConfirmation of the dimensional structure of the SCL-90: a study in construct validation. J Clin Psychol 1977; 33; 981–9.3.0.CO;2-0>CrossRefGoogle Scholar
Dickerson, FBRingel, NBParente, FSubjective quality of life in outpatients with schizophrenia: clinical and utilization correlates. Acta Psychiatr Scand 1998; 98; 124–7.CrossRefGoogle Scholar
Fahy, TKent, ATattan, TVan Horn, EWhite, IPredictors of quality of life in people with severe mental illness. Study methodology with baseline in the UK700 trial. Br J Psychiatry 1999; 175; 424–32.CrossRefGoogle Scholar
Hansson, LMiddelboe, TMerinder, LBjarnasson, OBengtsson-Tops, ANilsson, Let al. Predictors of subjective quality of life in schizophrenic patients living in the community. A Nordic multicentre study. Int J Soc Psychiatry 1999 ; 45 : 4.CrossRefGoogle ScholarPubMed
Hansson, LBjörkman, TSvensson, BThe assessment of needs in psychiatric patients. Interrater reliability of the Swedish version of the Camberwell Assessment of Needs instrument and results from a cross-sectional study. Acta Psychiatr Scand 1995; 92; 285–93.CrossRefGoogle ScholarPubMed
Hansson, LSvensson, BBjörkman, TQuality of life of the mentally ill. Reliability of the Swedish version of the Lancashire Quality of Life Profile. Eur Psychiatry 1998; 13; 231–4.CrossRefGoogle ScholarPubMed
Henderson, SDuncan-Jones, PByrne, D.GScott, RMeasuring social relationships: the Interview Schedule for Social Interaction. Psychol M 1980; 10; 723–34.CrossRefGoogle ScholarPubMed
Huxley, PWarner, RCase management, quality of life, and satisfaction with services of long-term psychiatric patients. Hosp Community Psychiatry 1992; 43; 799–802.Google ScholarPubMed
Lam, J.ARosenheck, R.ACorrelates of improvements in quality of life among homeless persons with serious mental illness. Psychiatr Serv 2000; 51; 116–8.CrossRefGoogle Scholar
Mueser, K.TBond, G.RDrake, R.EResnick, S.GModels of community care for severe mental illness: a review of research on case management. Schizophr Bull 1998; 24; 37–74.CrossRefGoogle ScholarPubMed
Nieuwenhuizen, CScene, ABoevink, WWolf, JThe Lancashire Quality of Life Profile. First experiences in the Netherlands. Community Ment Health J 1998; 34; 513–24.CrossRefGoogle ScholarPubMed
Norusis, MJStatistical package for the social sciences, SPSSPC+ 7.0. Chicago: Spss Inc; 1995.Google Scholar
Oliver, JHuxley, PBridges, KMohammed, HQuality of life and mental health services. London: Routledge; 1996.Google Scholar
Oliver, J.PHuxley, PPriebe, SKaiser, WMeasuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Soc Psychiatr Epidemiol 1997; 32; 76–83.CrossRefGoogle ScholarPubMed
Phelan, MSlade, MDunn, GHolloway, GStrathdee, GThornicroft, Get al. Camberwell Assessment of Need. London: London Institute of Psychiatry; 1993.Google Scholar
Phelan, MSlade, MThornicroft, GDunn, GHolloway, FWykes, Tet al. The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 1995; 167; 589–95.CrossRefGoogle ScholarPubMed
Strauss, J.SCarpenter, W.TThe prediction of outcome in Schizophrenia. I. Characteristics of outcome. Arch Gen Psychiatry 1972; 27; 739–46.CrossRefGoogle Scholar
Strauss, J.SCarpenter, W.TThe prediction of outcome in Schizophrenia. II. Relationships between predictor and outcome variables: a report from the WHO international pilot study of schizophrenia. Arch Gen Psychiatry 1974; 31; 37–42.CrossRefGoogle ScholarPubMed
Sullivan, GWells, K.BLeake, BClinical factors associated with better quality of life in seriously mentally ill population. Hosp Community Psychiatry 1992; 43; 794–8.Google ScholarPubMed
Unden, A- LOrth-Gomer, KDevelopment of a survey method to measure social support in population studies. Soc Sci M 1989; 29; 1387–93.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.